Adachi Y, Mori M, Toh Y, Mine H, Haraguchi Y
Gan No Rinsho. 1986 Dec;32(15):2005-8.
Diverticulum of the gastric body is uncommon and the coexistence of this lesion and gastric carcinoma much more. The authors report a case of diverticulum and carcinoma of the gastric body in a 66-year-old woman. The partially resected stomach exhibited a diverticulum, 3 X 3 X 2 cm in size, on the lesser curvature and a carcinoma of the depressed type on the posterior wall. The latter was IIc + III-like advanced carcinoma showing poor differentiation histologically and partly invading the diverticular wall, which had no muscular layer (i.e., pseudo-diverticulum). As for pseudodiverticulum, carcinoma cells invading the submucosa will reach the serosa easily. It is important not to overlook carcinomas in or around the diverticulum.
胃体憩室并不常见，而这种病变与胃癌并存的情况则更为罕见。作者报告了一例66岁女性胃体憩室合并癌的病例。部分切除的胃在小弯侧有一个大小为3×3×2cm的憩室，后壁有一个凹陷型癌。后者为IIc + III型进展期癌，组织学表现为低分化，部分侵犯无肌层的憩室壁（即假性憩室）。至于假性憩室，侵入黏膜下层的癌细胞很容易到达浆膜层。重要的是不要忽视憩室内或其周围的癌。
